Relatively Low Risk of Complications With Vaginal Mesh Surgery

This article originally appeared here.
Only one in 30 women will suffer a complication that requires a second procedure.
Only one in 30 women will suffer a complication that requires a second procedure.

(HealthDay News) -- Only one out of every 30 women who receive a synthetic vaginal mesh sling to treat stress urinary incontinence will suffer a complication that requires a second surgery, according to a decade-long follow-up study of nearly 60,000 Canadian women. The findings were published online in JAMA Surgery.

Blayne Welk, M.D., an assistant professor of urology at Western University's Schulich School of Medicine & Dentistry in London, Canada, and colleagues tracked the number of Ontario women who needed a follow-up surgery to remove or repair a mesh implant. The study included 59,887 women who underwent the procedure from April 2002 through December 2012.

Overall, 1,307 women -- or 2.2% -- needed a follow-up surgery within an average of about a year after receiving a mesh implant for stress urinary incontinence, the findings showed. By the end of the decade-long study period, there was a 3.29% cumulative risk of complications, the investigators found. Patients of "low-volume" surgeons were 37% more likely to require a follow-up surgery, when compared with women who received treatment by a surgeon who regularly performs this procedure, the researchers said.

"These findings support the regulatory statements that suggest that patients should be counseled regarding serious complications that can occur with mesh-based procedures for stress urinary incontinence and that surgeons should achieve expertise in their chosen procedure," the authors write. "Multiple mesh-based procedures for stress urinary incontinence are a novel risk factor associated with an almost 5-fold higher rate of mesh removal or revision, and the safety of this practice should be studied further."

One author disclosed financial ties to Astellas Canada.

Source

  1. Welk, B; Al-Hothi, H; Winick-Ng, J. JAMA Surg. published online September 09, 2015; doi:10.1001/jamasurg.2015.2590.
  2. Welk, B; Al-Hothi, H; Winick-Ng, J. JAMA Surg. published online September 09, 2015; doi:10.1001/jamasurg.2015.2596.
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